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* 1. Name

First Name:

Last Name:

Email Address:

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* 2. My Specialty is:

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* 3. Please rate the items listed below:

	Excellent	Good	Satisfactory	Poor
Activity met my needs	Activity met my needs Excellent	Activity met my needs Good	Activity met my needs Satisfactory	Activity met my needs Poor
Activity made me want to learn more	Activity made me want to learn more Excellent	Activity made me want to learn more Good	Activity made me want to learn more Satisfactory	Activity made me want to learn more Poor
Activity valuable to me professionally	Activity valuable to me professionally Excellent	Activity valuable to me professionally Good	Activity valuable to me professionally Satisfactory	Activity valuable to me professionally Poor
Format facilitated learning	Format facilitated learning Excellent	Format facilitated learning Good	Format facilitated learning Satisfactory	Format facilitated learning Poor
Opportunity for participation was	Opportunity for participation was Excellent	Opportunity for participation was Good	Opportunity for participation was Satisfactory	Opportunity for participation was Poor
Audiovisual was	Audiovisual was Excellent	Audiovisual was Good	Audiovisual was Satisfactory	Audiovisual was Poor
Facilities were	Facilities were Excellent	Facilities were Good	Facilities were Satisfactory	Facilities were Poor
Overall activity rating	Overall activity rating Excellent	Overall activity rating Good	Overall activity rating Satisfactory	Overall activity rating Poor
I would recommend this activity to others	I would recommend this activity to others Excellent	I would recommend this activity to others Good	I would recommend this activity to others Satisfactory	I would recommend this activity to others Poor

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* 4. H1 - CHARACTERISTICS OF PAIN IN CHILDREN AND YOUTH WITH CEREBRAL PALSY
Lauren Switzer, MSc; Melanie Penner, MD; Wen Yan Xie, BMSc; Darcy Fehlings, MD MSc

	Agree Strongly	Agree	Neutral / No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral / No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral / No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral / No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 5. H2 - DEVELOPING A CEREBRAL PALSY CHRONIC PAIN ASSESSMENT TOOLKIT: A SYSTEMATIC REVIEW OF THE EVIDENCE
Shauna Kingsnorth, PhD; Ellie Adler, MA; Noam Ami, MSc; Tessa Gresley-Jones, NP; Deepali Mankad, MD; Nick Joachimides, RN CRN(cIIWCC MClSc; Linda Fay, OTREg(Ont); Naomi Slonim, PhD CPsych; Darcy Fehlings, MD MSc

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 6. H3 - RASCH ANALYSIS OF THE PEDIATRIC OUTCOMES DATA COLLECTION INSTRUMENT (PODCI) IN 720 PATIENTS WITH CEREBRAL PALSY
Young Choi, MD; Chin Youb Chung, MD; Kyoung Min Lee, MD; Seung Yeol Lee, MD; Tae Gyun Kim, MD; Soon-Sun Kwon, PhD; Sang Hyeong Lee, MD; Dae Gyu Kwon, MD; Ki Hyuk Sung, MD; Moon Seok Park, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 7. H4 - VALIDATION OF PROMIS IN CHILDHOOD CEREBRAL PALSY
Jilda N. Vargus-Adams, MD MSc; C. Jeffrey Jacobson, PhD; Adam C. Carle, PhD; Jennifer Farrell, MA; Esi Morgan-DeWitt, MD MSCE

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 8. H5 - MEASURING PHYSICAL ACTIVITY IN YOUTH WITH CEREBRAL PALSY WHO ARE AMBULATORY
Margaret E. O’Neil, PhD PT MPH; Maria Fragala-Pinkham, DPT, MS; Jeffrey Forman, MD; Nancy Lennon, MS PT; Ameeka George, BS; Stewart Trost, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 9. H6 - SELF-REPORTED QUALITY OF LIFE OF 13-17-YEAR-OLD ADOLESCENTS WITH CEREBRAL PALSY: SPARCLE, A CROSS SECTIONAL EUROPEAN STUDY
Heather O. Dickinson, BSc PhD; Allan Colver, MD FRCPCH

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 10. H7 - SPATIAL COGNITION IN INFANTS WITH MYELOMENINGOCELE: TRANSITION FROM IMMOBILITY TO MOBILITY
Monica Rivera, PT MS DPTSc; David Anderson, PhD; Sandra Radtka, PT PhD; Campos Joseph, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 11. H8 - WHAT DO ‘SOCIAL COMMUNICATION’ ABILITIES OF PRESCHOOL CHILDREN WITH ASD LOOK LIKE? A QUALITATIVE CASE STUDY
Briano Di Rezze, PhD; Martha Cousins, MSc; Peter Rosenbaum, MD; Lonnie Zwaigenbaum, MD; Mary Jo C. Hidecker, PhD; Mary Law, PhD; Peter Szatmari, MD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 12. H9 - THE ACCOMMODATIVE PROCESS IN CHILDREN AND ADOLESCENTS WITH AND WITHOUT CEREBRAL PALSY
Kristina Tedroff, MD PhD; Kerstin Hellgren, MD PhD; Lena Jacobson, MD PhD; Rune Brautaset, PhD; Tony Pansell, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 13. H10 - COGNITIVE PROFILE IN ADULTS WITH CEREBRAL PALSY ACCORDING TO EMPLOYMENT STATUS
Helene Hoye, MS; Grethe Manum, MD PhD; Solrun Sigurdardottir, PhD

	Agree Strongly	Agree	Neutral /No Opinion	Disagree	Disagree Strongly
Content valuable to me professionally	Content valuable to me professionally Agree Strongly	Content valuable to me professionally Agree	Content valuable to me professionally Neutral /No Opinion	Content valuable to me professionally Disagree	Content valuable to me professionally Disagree Strongly
Presentation well organized	Presentation well organized Agree Strongly	Presentation well organized Agree	Presentation well organized Neutral /No Opinion	Presentation well organized Disagree	Presentation well organized Disagree Strongly
Speaker was effective	Speaker was effective Agree Strongly	Speaker was effective Agree	Speaker was effective Neutral /No Opinion	Speaker was effective Disagree	Speaker was effective Disagree Strongly

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* 14. What are the three most important things you learned from these sessions?

1)

2)

3)

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* 15. How will these sessions enhance your professional effectiveness?

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* 16. How could this CME activity be improved?

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* 17. What topics would you suggest be presented in future CME activities?

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* 18. Were the sessions presented objectively and fairly?

Yes

No (please explain)

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* 19. Was disclosure of faculty and commercial support relationships made known to you?

Yes

No (please explain)

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* 20. Was disclosure of unapproved/investigative use(s) of commercial product(s), device(s) made?

Yes

No (please explain)

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* 21. Additional Comments or Suggestions:

Thank you for your feedback